Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.89 / $4,771.00 / $10,767.00	Facility		$219.89	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $414.53 / $586.59	Professional		$194.53	$414.53	$586.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.38 / $229.51 / $379.44	Professional		$177.38	$229.51	$379.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $266.07 / $344.26 / $564.76	Professional	50	$266.07	$344.26	$564.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.42 / $222.41 / $3,426.00	Professional		$205.42	$222.41	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.48 / $333.48 / $333.48	Facility		$333.48	$333.48	$333.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.28 / $494.42 / $916.05	Professional		$222.28	$494.42	$916.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.88 / $622.61 / $654.00	Professional		$457.88	$622.61	$654.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.89 / $467.08 / $917.47	Facility		$219.89	$467.08	$917.47
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $275.08 / $998.55 / $1,010.42	Facility	50	$275.08	$998.55	$1,010.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $458.11 / $682.67 / $915.00	Professional		$458.11	$682.67	$915.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $294.12 / $6,464.00	Facility		$196.00	$294.12	$6,464.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $505.70 / $732.88 / $6,464.00	Professional		$505.70	$732.88	$6,464.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $703.96 / $1,110.52	Professional		$404.64	$703.96	$1,110.52